EP3110410B1 - Method for producing a flurane complex - Google Patents
Method for producing a flurane complex Download PDFInfo
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- EP3110410B1 EP3110410B1 EP15706481.7A EP15706481A EP3110410B1 EP 3110410 B1 EP3110410 B1 EP 3110410B1 EP 15706481 A EP15706481 A EP 15706481A EP 3110410 B1 EP3110410 B1 EP 3110410B1
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- Prior art keywords
- complex
- flurane
- sbecd
- sevoflurane
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- 238000004519 manufacturing process Methods 0.000 title claims description 5
- 229940097346 sulfobutylether-beta-cyclodextrin Drugs 0.000 claims description 31
- 229960002078 sevoflurane Drugs 0.000 claims description 21
- DFEYYRMXOJXZRJ-UHFFFAOYSA-N sevoflurane Chemical compound FCOC(C(F)(F)F)C(F)(F)F DFEYYRMXOJXZRJ-UHFFFAOYSA-N 0.000 claims description 21
- 238000000034 method Methods 0.000 claims description 13
- 239000007864 aqueous solution Substances 0.000 claims description 12
- 239000000243 solution Substances 0.000 claims description 12
- 230000003444 anaesthetic effect Effects 0.000 claims description 5
- 238000004108 freeze drying Methods 0.000 claims description 5
- 238000006243 chemical reaction Methods 0.000 claims description 3
- 239000003814 drug Substances 0.000 claims description 3
- PIWKPBJCKXDKJR-UHFFFAOYSA-N Isoflurane Chemical compound FC(F)OC(Cl)C(F)(F)F PIWKPBJCKXDKJR-UHFFFAOYSA-N 0.000 claims description 2
- 229960003537 desflurane Drugs 0.000 claims description 2
- DPYMFVXJLLWWEU-UHFFFAOYSA-N desflurane Chemical compound FC(F)OC(F)C(F)(F)F DPYMFVXJLLWWEU-UHFFFAOYSA-N 0.000 claims description 2
- 229960000305 enflurane Drugs 0.000 claims description 2
- JPGQOUSTVILISH-UHFFFAOYSA-N enflurane Chemical compound FC(F)OC(F)(F)C(F)Cl JPGQOUSTVILISH-UHFFFAOYSA-N 0.000 claims description 2
- 238000001990 intravenous administration Methods 0.000 claims description 2
- 229960002725 isoflurane Drugs 0.000 claims description 2
- 229960002455 methoxyflurane Drugs 0.000 claims description 2
- RFKMCNOHBTXSMU-UHFFFAOYSA-N methoxyflurane Chemical compound COC(F)(F)C(Cl)Cl RFKMCNOHBTXSMU-UHFFFAOYSA-N 0.000 claims description 2
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 17
- 229920000858 Cyclodextrin Polymers 0.000 description 14
- 238000002360 preparation method Methods 0.000 description 8
- 229940097362 cyclodextrins Drugs 0.000 description 7
- 238000003860 storage Methods 0.000 description 7
- 239000007787 solid Substances 0.000 description 6
- 238000010668 complexation reaction Methods 0.000 description 5
- 239000012153 distilled water Substances 0.000 description 5
- 239000007789 gas Substances 0.000 description 5
- IJGRMHOSHXDMSA-UHFFFAOYSA-N Atomic nitrogen Chemical compound N#N IJGRMHOSHXDMSA-UHFFFAOYSA-N 0.000 description 4
- UFHFLCQGNIYNRP-UHFFFAOYSA-N Hydrogen Chemical compound [H][H] UFHFLCQGNIYNRP-UHFFFAOYSA-N 0.000 description 4
- WHGYBXFWUBPSRW-FOUAGVGXSA-N beta-cyclodextrin Chemical compound OC[C@H]([C@H]([C@@H]([C@H]1O)O)O[C@H]2O[C@@H]([C@@H](O[C@H]3O[C@H](CO)[C@H]([C@@H]([C@H]3O)O)O[C@H]3O[C@H](CO)[C@H]([C@@H]([C@H]3O)O)O[C@H]3O[C@H](CO)[C@H]([C@@H]([C@H]3O)O)O[C@H]3O[C@H](CO)[C@H]([C@@H]([C@H]3O)O)O3)[C@H](O)[C@H]2O)CO)O[C@@H]1O[C@H]1[C@H](O)[C@@H](O)[C@@H]3O[C@@H]1CO WHGYBXFWUBPSRW-FOUAGVGXSA-N 0.000 description 4
- 235000011175 beta-cyclodextrine Nutrition 0.000 description 4
- 229960004853 betadex Drugs 0.000 description 4
- -1 cyclic oligosaccharides Chemical class 0.000 description 4
- 238000009472 formulation Methods 0.000 description 4
- 239000000203 mixture Substances 0.000 description 4
- 230000008569 process Effects 0.000 description 4
- 239000000126 substance Substances 0.000 description 4
- NZAQRZWBQUIBSF-UHFFFAOYSA-N 4-(4-sulfobutoxy)butane-1-sulfonic acid Chemical group OS(=O)(=O)CCCCOCCCCS(O)(=O)=O NZAQRZWBQUIBSF-UHFFFAOYSA-N 0.000 description 3
- 239000001116 FEMA 4028 Substances 0.000 description 3
- 239000008139 complexing agent Substances 0.000 description 3
- 238000001962 electrophoresis Methods 0.000 description 3
- 239000001257 hydrogen Substances 0.000 description 3
- 229910052739 hydrogen Inorganic materials 0.000 description 3
- 239000000523 sample Substances 0.000 description 3
- HFHDHCJBZVLPGP-UHFFFAOYSA-N schardinger α-dextrin Chemical group O1C(C(C2O)O)C(CO)OC2OC(C(C2O)O)C(CO)OC2OC(C(C2O)O)C(CO)OC2OC(C(O)C2O)C(CO)OC2OC(C(C2O)O)C(CO)OC2OC2C(O)C(O)C1OC2CO HFHDHCJBZVLPGP-UHFFFAOYSA-N 0.000 description 3
- 239000002904 solvent Substances 0.000 description 3
- 238000006467 substitution reaction Methods 0.000 description 3
- 206010002091 Anaesthesia Diseases 0.000 description 2
- 230000037005 anaesthesia Effects 0.000 description 2
- 238000009835 boiling Methods 0.000 description 2
- 230000000052 comparative effect Effects 0.000 description 2
- 150000002170 ethers Chemical class 0.000 description 2
- 238000004817 gas chromatography Methods 0.000 description 2
- 125000002791 glucosyl group Chemical group C1([C@H](O)[C@@H](O)[C@H](O)[C@H](O1)CO)* 0.000 description 2
- 239000001307 helium Substances 0.000 description 2
- 229910052734 helium Inorganic materials 0.000 description 2
- SWQJXJOGLNCZEY-UHFFFAOYSA-N helium atom Chemical compound [He] SWQJXJOGLNCZEY-UHFFFAOYSA-N 0.000 description 2
- 125000002887 hydroxy group Chemical group [H]O* 0.000 description 2
- 239000007791 liquid phase Substances 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 229910052757 nitrogen Inorganic materials 0.000 description 2
- 239000011550 stock solution Substances 0.000 description 2
- 229920001450 Alpha-Cyclodextrin Polymers 0.000 description 1
- WQZGKKKJIJFFOK-GASJEMHNSA-N Glucose Natural products OC[C@H]1OC(O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-GASJEMHNSA-N 0.000 description 1
- 238000002441 X-ray diffraction Methods 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 239000012482 calibration solution Substances 0.000 description 1
- 238000005251 capillar electrophoresis Methods 0.000 description 1
- 210000000170 cell membrane Anatomy 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 230000000536 complexating effect Effects 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- RTZKZFJDLAIYFH-UHFFFAOYSA-N ether Substances CCOCC RTZKZFJDLAIYFH-UHFFFAOYSA-N 0.000 description 1
- 230000007717 exclusion Effects 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 239000011521 glass Substances 0.000 description 1
- 239000008103 glucose Substances 0.000 description 1
- 238000001727 in vivo Methods 0.000 description 1
- 238000011534 incubation Methods 0.000 description 1
- 239000003983 inhalation anesthetic agent Substances 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 229920001542 oligosaccharide Polymers 0.000 description 1
- 239000012071 phase Substances 0.000 description 1
- 239000000843 powder Substances 0.000 description 1
- 230000002035 prolonged effect Effects 0.000 description 1
- 230000005855 radiation Effects 0.000 description 1
- 230000000241 respiratory effect Effects 0.000 description 1
- 239000012488 sample solution Substances 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 238000003756 stirring Methods 0.000 description 1
- 238000005496 tempering Methods 0.000 description 1
- 239000006200 vaporizer Substances 0.000 description 1
Images
Classifications
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- C—CHEMISTRY; METALLURGY
- C08—ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
- C08B—POLYSACCHARIDES; DERIVATIVES THEREOF
- C08B37/00—Preparation of polysaccharides not provided for in groups C08B1/00 - C08B35/00; Derivatives thereof
- C08B37/0006—Homoglycans, i.e. polysaccharides having a main chain consisting of one single sugar, e.g. colominic acid
- C08B37/0009—Homoglycans, i.e. polysaccharides having a main chain consisting of one single sugar, e.g. colominic acid alpha-D-Glucans, e.g. polydextrose, alternan, glycogen; (alpha-1,4)(alpha-1,6)-D-Glucans; (alpha-1,3)(alpha-1,4)-D-Glucans, e.g. isolichenan or nigeran; (alpha-1,4)-D-Glucans; (alpha-1,3)-D-Glucans, e.g. pseudonigeran; Derivatives thereof
- C08B37/0018—Pullulan, i.e. (alpha-1,4)(alpha-1,6)-D-glucan; Derivatives thereof
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/075—Ethers or acetals
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/02—Halogenated hydrocarbons
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/50—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
- A61K47/69—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the conjugate being characterised by physical or galenical forms, e.g. emulsion, particle, inclusion complex, stent or kit
- A61K47/6949—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the conjugate being characterised by physical or galenical forms, e.g. emulsion, particle, inclusion complex, stent or kit inclusion complexes, e.g. clathrates, cavitates or fullerenes
- A61K47/6951—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the conjugate being characterised by physical or galenical forms, e.g. emulsion, particle, inclusion complex, stent or kit inclusion complexes, e.g. clathrates, cavitates or fullerenes using cyclodextrin
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/0012—Galenical forms characterised by the site of application
- A61K9/0019—Injectable compositions; Intramuscular, intravenous, arterial, subcutaneous administration; Compositions to be administered through the skin in an invasive manner
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/0012—Galenical forms characterised by the site of application
- A61K9/0053—Mouth and digestive tract, i.e. intraoral and peroral administration
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P23/00—Anaesthetics
-
- C—CHEMISTRY; METALLURGY
- C08—ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
- C08B—POLYSACCHARIDES; DERIVATIVES THEREOF
- C08B37/00—Preparation of polysaccharides not provided for in groups C08B1/00 - C08B35/00; Derivatives thereof
- C08B37/0003—General processes for their isolation or fractionation, e.g. purification or extraction from biomass
-
- C—CHEMISTRY; METALLURGY
- C08—ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
- C08B—POLYSACCHARIDES; DERIVATIVES THEREOF
- C08B37/00—Preparation of polysaccharides not provided for in groups C08B1/00 - C08B35/00; Derivatives thereof
- C08B37/0006—Homoglycans, i.e. polysaccharides having a main chain consisting of one single sugar, e.g. colominic acid
- C08B37/0009—Homoglycans, i.e. polysaccharides having a main chain consisting of one single sugar, e.g. colominic acid alpha-D-Glucans, e.g. polydextrose, alternan, glycogen; (alpha-1,4)(alpha-1,6)-D-Glucans; (alpha-1,3)(alpha-1,4)-D-Glucans, e.g. isolichenan or nigeran; (alpha-1,4)-D-Glucans; (alpha-1,3)-D-Glucans, e.g. pseudonigeran; Derivatives thereof
- C08B37/0012—Cyclodextrin [CD], e.g. cycle with 6 units (alpha), with 7 units (beta) and with 8 units (gamma), large-ring cyclodextrin or cycloamylose with 9 units or more; Derivatives thereof
- C08B37/0015—Inclusion compounds, i.e. host-guest compounds, e.g. polyrotaxanes
Definitions
- the invention relates to a hallucan complex and its formulation as anesthetic.
- Fluranes are drugs used in anesthesia to maintain or induce anesthesia and are inhaled in the prior art.
- Inhalation anesthetics are applied as gases or vaporizer vaporized fluids via a respiratory mask, a laryngeal mask or an endotracheal tube.
- Fluranes have a low boiling point and high vapor pressure. These are polyhalogenated ethers. These are lipophilic substances whose anesthetic activity is explained inter alia by a non-specific interaction with components of the cell membrane resulting from lipophilicity.
- the invention is based on the object to provide a method of the type mentioned, with which an efficient and unproblematic production of a storable and easily administrable form of Fluranen is possible.
- the invention has recognized that, surprisingly, by combining the selection of SBECD and the complexation at the claimed low temperature of 2-15 ° C, a complex can be prepared which on the one hand is readily storable without releasing the volatile flurane and, on the other hand, completely unproblematic can be brought into an administrable form, for example, can be solved in water, without the need for special measures or tools.
- Cyclodextrins generally have a toroidal shape and have a correspondingly shaped cavity.
- the flurans enter this cavity as a guest molecule, so that a complex formable in aqueous solution of the extremely lipophilic fluranes is obtained, which can provide the fluranes at the intended pharmaceutical site of action.
- Cyclodextrins are cyclic oligosaccharides from ⁇ -1,4-glucosidically linked glucose molecules.
- ⁇ -Cyclodextrin has seven glucose units.
- hydroxy groups of the glucose unit are etherified in a sulfobutyl alcohol. According to the invention, only a portion of the 21 hydroxy groups of a ⁇ -cyclodextrin is usually etherified.
- Sulfobutyl ether groups are used in cyclodextrins in the prior art for increasing the hydrophilicity or water solubility.
- the invention has recognized that the sulfobutyl ether groups contribute in particular to increasing the stability of the complex of fluranes and correspondingly substituted ⁇ -cyclodextrin and thus substantially improve the storage stability and formability of the particularly volatile fluoranes.
- the complex obtainable according to the invention can be formulated as a storage-stable aqueous solution or solid, as will be shown in more detail below.
- the degree of substitution of the cyclodextrin with sulfobutyl ether groups is preferably 3 to 8, more preferably 4 to 7.
- Suitable sulfobutyl ether ⁇ -cyclodextrins having an average degree of substitution of 6 to 7 are, for example, in the cited WO 2009/134347 A2 described and commercially available under the trade name Captisol®.
- Also suitable are corresponding cyclodextrins having a degree of substitution of 4-5, for example 4.2.
- the flurane is a polyfluorinated ether and is preferably selected from the group consisting of sevoflurane, enflurane, isoflurane, desflurane and methoxyflurane. Sevoflurane is particularly preferred.
- the WO 2011/086146 A1 Although also discloses the preparation of a storage-stable complex (with ⁇ -cyclodextrins), but it has been shown that these complexes can not be easily brought into aqueous solution, but special measures or auxiliaries are required for this purpose. The formulation of, for example, an iv-administrable solution according to this prior art is thus problematic.
- the DE 10 2010 042 615 A1 discloses a complexation of fluranes with various cyclodextrins, including SBECD, but the technical teaching is a complexation at high temperatures of 50 ° C. This high temperature is considered necessary for successful complexation.
- the present invention has recognized that complexing at very low temperatures is surprisingly possible and also has the considerable advantage that it does not or to a much lesser extent to a release of gaseous fluranes whose boiling points are at or below 50 ° C. ,
- the reaction for the preparation of the complex is preferably carried out in a closed container with exclusion of air. Preferred is a period of 1 to 10 hours, more preferably 2 to 5 hours, for example about 3 hours. Preferably, it is stirred or mixed in any other suitable manner. After completion of this reaction is preferably obtained a homogeneous liquid phase.
- the separation of the complex may involve partial or complete removal of the solvent water.
- step a prepared aqueous solution SBECD in a concentration of 5 to 20 wt .-%, preferably 10 to 15 wt .-%.
- concentration range results in combination with the claimed temperature range, a substantially complete complexation, the resulting complex remains in a homogeneous, single-phase aqueous solution.
- step c. The addition of flurane in step c. is preferably carried out in a molar ratio to the SBECD of 4: 1 to 1: 1, more preferably 3: 1 to 2: 1.
- the aqueous solution of the complex prepared can be used directly, for example as an iv-administrable solution.
- the resulting complex is separated off as a solid, this can be particularly preferably carried out according to the invention by stripping off the solvent by freeze-drying (lyophilization).
- Particularly preferred conditions for freeze-drying are a period of 12 to 48 hours, for example about 24 hours; a temperature of -30 to -70 ° C, for example about -50 ° C; and a vacuum, for example, a pressure of 1 to 20 Pa, preferably 5 to 10 Pa.
- the invention further provides a complex obtainable by the process according to the invention.
- the Flurangehalt this complex is inventively greater than 8 wt .-%, preferably greater than 8.2 wt .-%, more preferably greater than 8.5 wt .-%.
- Particularly preferred in the complex is the complexed flurane sevoflurane.
- the molar ratio of SBECD to flurane in the complex according to the invention is preferably at least 1: 0.6, more preferably at least 1: 0.7, more preferably at least 1: 0.8, further preferably at least 1: 0.85.
- the complex obtainable according to the invention thus has a very high molar content of flurane with simultaneously high storage stability and problem-free formulation into an administrable form, for example an aqueous solution.
- the invention further provides a complex obtainable according to the invention for use as a medicament.
- Another object of the invention is an anesthetic formulated for oral and / or intravenous administration which has a complex obtainable according to the invention.
- the injection program was as follows: After an incubation period of 10 minutes at 60 ° C, a vapor sample with a volume of 250 ⁇ l at 70 ° C was injected into the gas chromatograph.
- Comparative solutions 1 ml of distilled water containing 250 ⁇ l of DMF is added to the vial.
- Calibration solutions As stock solution, weigh 100 mg sevoflurane in 2 ml glass bottles and make up to the mark with DMF.
- this stock solution (20, 65, 110, 155 and 200 ⁇ l) are each made up to 200 ⁇ l with DMF and filled with 1 ml of distilled water in Head Space Vials (19.5 ml).
- Sample solution Place 50 mg of the sample complex in a Head Space Vial (19.5 ml) with 1 ml of distilled water and 200 ⁇ l of DMF.
- This example describes the preparation of a SBECD complex of sevoflurane.
- the resulting solution was frozen at -50 ° C and lyophilized for 24 h at a pressure in the range of 6.0 to 8.7 Pa.
- An amorphous solid was obtained, which was ground and sieved through a sieve with a mesh size of 0.3 mm.
- the residual level of water was low (data below), so no further freeze-drying step was required.
- the content of the solid complex of sevoflurane (determined as described above) was 8.6% by weight.
- Example 1 the influence of temperature on production on the complex was investigated.
- the preparation of Example 1 was repeated with variations in the temperature of the solution in the preparation (comparative examples not according to the invention).
- the content of the solid complex of sevoflurane was 1.7 wt .-%, at 30 ° C 0.7 wt .-%.
- SBECD and the complex of Example 1 was checked by X-ray diffractometry. Conventional CuK ⁇ radiation was used. The reflection peaks were recorded in a range of the angle 2 ⁇ of 5 to 40 °.
- the amorphous structure was confirmed by observation under a light microscope at 100 times magnification under polarized light. No interference patterns were visible, this confirms the amorphous structure.
- Fig. 2 shows (above) the electropherogram of SBECD and below the corresponding electropherogram of the complex according to Example 1. The comparison shows that the structure of the complexing agent is not affected by the inventive method.
- Example 1 The solid obtained according to Example 1 was stored for 14 days (14 days) in an open container at 40 ° C.
- the properties listed in the table below were determined at the specified time intervals. 0 d 2 d 7 d 14 d Sevoflurane content [% by weight] 8.6 8.6 8.6 8.6 removability clear clear Residual water content [% by weight] 3.5 4.7
- the sevoflurane content does not change even during prolonged storage under unfavorable conditions, thus the complex is very stable. Even after 14 days under these storage conditions, it can easily be reconstituted with water and without further aids to achieve a clear solution. The residual water content had increased only slightly under these unfavorable storage conditions.
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Description
Die Erfindung betrifft einen Flurankomplex sowie dessen Formulierung als Anästhetikum.The invention relates to a hallucan complex and its formulation as anesthetic.
Flurane sind Arzneistoffe, die in der Anästhesie zur Aufrechterhaltung oder Einleitung der Narkose eingesetzt werden und im Stand der Technik durch Inhalation aufgenommen werden. Inhalationsanästhetika werden als Gase oder mittels eines Vaporisers verdampfte Flüssigkeiten über eine Atemmaske, eine Larynxmaske oder einen Endotrachealtubus appliziert.Fluranes are drugs used in anesthesia to maintain or induce anesthesia and are inhaled in the prior art. Inhalation anesthetics are applied as gases or vaporizer vaporized fluids via a respiratory mask, a laryngeal mask or an endotracheal tube.
Flurane weisen einen niedrigen Siedepunkt und hohen Dampfdruck auf. Es handelt sich um mehrfach halogenierte Ether. Es handelt sich um lipophile Stoffe, deren anästhetische Wirksamkeit unter anderem mit einer aus der Lipophilie herrührenden unspezifischen Interaktion mit Bestandteilen der Zellmembran erklärt wird.Fluranes have a low boiling point and high vapor pressure. These are polyhalogenated ethers. These are lipophilic substances whose anesthetic activity is explained inter alia by a non-specific interaction with components of the cell membrane resulting from lipophilicity.
Es ist bereits bekannt, Flurane mit Cyclodextrinen zu komplexieren (
Der Erfindung liegt die Aufgabe zu Grunde, ein Verfahren der eingangs genannten Art zu schaffen, mit dem eine effiziente und unproblematische Herstellung einer lagerfähigen und problemlos administrierbaren Form von Fluranen möglich ist.The invention is based on the object to provide a method of the type mentioned, with which an efficient and unproblematic production of a storable and easily administrable form of Fluranen is possible.
Gelöst wird diese Aufgabe durch ein Verfahren mit den folgenden Schritten:
- a. Herstellen einer wässrigen Lösung von Sulfobutylether-β-Cyclodextrin (SBECD),
- b. Temperieren dieser Lösung auf eine Temperatur von 2 bis 15°C,
- c. Zugabe des Flurans zur der wässrigen Lösung,
- d. Reagierenlassen zur Herstellung des Komplexes,
- e. Abtrennen des Komplexes.
- a. Preparing an aqueous solution of sulfobutyl ether-β-cyclodextrin (SBECD),
- b. Tempering this solution to a temperature of 2 to 15 ° C,
- c. Adding flurane to the aqueous solution,
- d. Reacting to make the complex,
- e. Separating the complex.
Die Erfindung hat erkannt, dass sich überraschenderweise durch die Kombination der Auswahl von SBECD und die Komplexierung bei der beanspruchten tiefen Temperatur von 2-15°C ein Komplex herstellen lässt, der einerseits ohne weiteres lagerfähig ist, ohne das flüchtige Fluran freizusetzen und andererseits völlig unproblematisch in eine administrierbare Form gebracht werden kann, beispielsweise in Wasser gelöst werden kann, ohne dass es dazu besonderer Maßnahmen oder Hilfsmittel bedarf.The invention has recognized that, surprisingly, by combining the selection of SBECD and the complexation at the claimed low temperature of 2-15 ° C, a complex can be prepared which on the one hand is readily storable without releasing the volatile flurane and, on the other hand, completely unproblematic can be brought into an administrable form, for example, can be solved in water, without the need for special measures or tools.
Cyclodextrine weisen generell eine Toroidform auf und besitzen eine entsprechend geformte Kavität. Die Flurane treten als Gastmolekül in diese Kavität ein, so dass ein in wässriger Lösung formulierbarer Komplex der extrem lipophilen Flurane erhalten wird, der die Flurane am vorgesehenen pharmazeutischen Wirkort zur Verfügung stellen kann.Cyclodextrins generally have a toroidal shape and have a correspondingly shaped cavity. The flurans enter this cavity as a guest molecule, so that a complex formable in aqueous solution of the extremely lipophilic fluranes is obtained, which can provide the fluranes at the intended pharmaceutical site of action.
Cyclodextrine sind zyklische Oligosaccharide aus α-1,4-glykosidisch verknüpften Glukosemolekülen. β-Cyclodextrin besitzt sieben Glukoseeinheiten. Bei einem Sulfobutylether-β-Cyclodextrin sind Hydroxygruppen der Glukoseeinheit in einem Sulfobutylalkohol verethert. Erfindungsgemäß ist in der Regel lediglich ein Teil der 21 Hydroxygruppen eines β-Cyclodextrins verethert.Cyclodextrins are cyclic oligosaccharides from α-1,4-glucosidically linked glucose molecules. β-Cyclodextrin has seven glucose units. In a sulfobutyl ether-β-cyclodextrin, hydroxy groups of the glucose unit are etherified in a sulfobutyl alcohol. According to the invention, only a portion of the 21 hydroxy groups of a β-cyclodextrin is usually etherified.
Die Herstellung von Sulfoalkyethercyclodextrinen ist dem Fachmann geläufig und beispielsweise in
Sulfobutylethergruppen werden bei Cyclodextrinen im Stand der Technik zur Erhöhung der Hydrophilie beziehungsweise Wasserlöslichkeit eingesetzt. Die Erfindung hat erkannt, dass die Sulfobutylethergruppen in besonderem Maße zur Erhöhung der Stabilität des Komplexes aus Fluranen und dementsprechend substituierten β-Cyclodextrin beitragen und so die Lagerstabilität und Formulierbarkeit der besonders flüchtigen Flurane wesentlich verbessern. Der erfindungsgemäß erhältliche Komplex kann als lagerstabile wässrige Lösung oder Feststoff formuliert werden, wie unten noch näher gezeigt werden wird.Sulfobutyl ether groups are used in cyclodextrins in the prior art for increasing the hydrophilicity or water solubility. The invention has recognized that the sulfobutyl ether groups contribute in particular to increasing the stability of the complex of fluranes and correspondingly substituted β-cyclodextrin and thus substantially improve the storage stability and formability of the particularly volatile fluoranes. The complex obtainable according to the invention can be formulated as a storage-stable aqueous solution or solid, as will be shown in more detail below.
Bevorzugt beträgt der Substitutionsgrad des Cyclodextrins mit Sulfobutylethergruppen 3 bis 8, weitervorzugsweise 4 bis 7. Geeignete Sulfobutylether-β-Cyclodextrine mit einem mittlerem Substitutionsgrad von 6 bis 7 sind beispielsweise in der genannten
Das Fluran ist ein mehrfach flourierter Ether und bevorzugt ausgewählt aus der Gruppe bestehend aus Sevofluran, Enfluran, Isofluran, Desfluran und Methoxyfluran. Sevofluran ist besonders bevorzugt.The flurane is a polyfluorinated ether and is preferably selected from the group consisting of sevoflurane, enflurane, isoflurane, desflurane and methoxyflurane. Sevoflurane is particularly preferred.
Die
Das Reagierenlassen zur Herstellung des Komplexes erfolgt bevorzugt in einem geschlossenen Behälter unter Luftabschluss. Bevorzugt ist ein Zeitraum von 1 bis 10 h, weiter bevorzugt 2 bis 5 h, beispielsweise etwa 3 h. Bevorzugt wird gerührt oder auf eine sonstige geeignete Weise gemischt. Nach Abschluss dieser Reaktion erhält man bevorzugt eine homogene, flüssige Phase.The reaction for the preparation of the complex is preferably carried out in a closed container with exclusion of air. Preferred is a period of 1 to 10 hours, more preferably 2 to 5 hours, for example about 3 hours. Preferably, it is stirred or mixed in any other suitable manner. After completion of this reaction is preferably obtained a homogeneous liquid phase.
Das Abtrennen des Komplexes kann ein teilweises oder vollständiges Entfernen des Lösungsmittels Wasser umfassen.The separation of the complex may involve partial or complete removal of the solvent water.
Erfindungsgemäß enthält bevorzugt die in Schritt a. hergestellte wässrige Lösung SBECD in einer Konzentration von 5 bis 20 Gew.-%, vorzugsweise 10 bis 15 Gew.-%. In diesem Konzentrationsbereich ergibt sich in Kombination mit dem beanspruchten Temperaturbereich eine weitgehend vollständige Komplexierung, der entstandene Komplex bleibt in homogener, einphasiger wässriger Lösung.According to the invention preferably contains in step a. prepared aqueous solution SBECD in a concentration of 5 to 20 wt .-%, preferably 10 to 15 wt .-%. In this concentration range results in combination with the claimed temperature range, a substantially complete complexation, the resulting complex remains in a homogeneous, single-phase aqueous solution.
Die Zugabe des Flurans in Schritt c. erfolgt bevorzugt in einem Molverhältnis zum SBECD von 4:1 bis 1:1, weiter vorzugsweise 3:1 bis 2:1.The addition of flurane in step c. is preferably carried out in a molar ratio to the SBECD of 4: 1 to 1: 1, more preferably 3: 1 to 2: 1.
Im Rahmen der Erfindung kann die hergestellte wässrige Lösung des Komplexes, gegebenenfalls nach dem Abziehen eines Teil des Lösungsmittels Wasser, unmittelbar Verwendung finden, beispielsweise als i.v. administrierbare Lösung. Bevorzugt wird jedoch der erhaltene Komplex als Feststoff abgetrennt, dies kann erfindungsgemäß besonders bevorzugt erfolgen durch ein Abziehen des Lösungsmittels durch Gefriertrocknung (Lyophilisation). Besonders bevorzugte Bedingungen für die Gefriertrocknung sind ein Zeitraum von 12 bis 48 h, beispielsweise etwa 24 h; eine Temperatur von -30 bis -70 °C, beispielsweise etwa -50 °C; sowie ein Vakuum, beispielsweise ein Druck von 1 bis 20 Pa, vorzugsweise 5 bis 10 Pa. Man erhält so einen Komplex, in dem die chemische Struktur und das amorphe Erscheinungsbild des Komplexbildners im wesentlichen unverändert erhalten ist und der einen geringen Restwassergehalt von typischerweise unter 5 Gew.-%, beispielsweise etwa 3-4 Gew.-%, aufweist.In the context of the invention, the aqueous solution of the complex prepared, if appropriate after removal of part of the solvent water, can be used directly, for example as an iv-administrable solution. Preferably, however, the resulting complex is separated off as a solid, this can be particularly preferably carried out according to the invention by stripping off the solvent by freeze-drying (lyophilization). Particularly preferred conditions for freeze-drying are a period of 12 to 48 hours, for example about 24 hours; a temperature of -30 to -70 ° C, for example about -50 ° C; and a vacuum, for example, a pressure of 1 to 20 Pa, preferably 5 to 10 Pa. This gives a complex in which the chemical structure and the amorphous appearance of the complexing agent is substantially unchanged and which has a low residual water content of typically less than 5% by weight, for example about 3-4% by weight.
Gegenstand der Erfindung ist ferner ein durch das erfindungsgemäße Verfahren erhältlicher Komplex. Der Flurangehalt dieses Komplexes ist erfindungsgemäß größer als 8 Gew.-%, vorzugsweise größer als 8,2 Gew.-%, weiter vorzugsweise größer als 8,5 Gew.-%. Besonders bevorzugt ist in dem Komplex das komplexierte Fluran Sevofluran.The invention further provides a complex obtainable by the process according to the invention. The Flurangehalt this complex is inventively greater than 8 wt .-%, preferably greater than 8.2 wt .-%, more preferably greater than 8.5 wt .-%. Particularly preferred in the complex is the complexed flurane sevoflurane.
Das Molverhältnis von SBECD zu Fluran beträgt in dem erfindungsgemäßen Komplex bevorzugt wenigstens 1:0,6, weiter vorzugsweise wenigstens 1:0,7, weiter vorzugsweise wenigstens 1:0,8, weiter vorzugsweise wenigstens 1:0,85. Der erfindungsgemäß erhältliche Komplex weist somit einen sehr hohen molaren Gehalt des Flurans bei gleichzeitig hoher Lagerstabilität und problemloser Formulierbarkeit zu einer administrierbaren Form, beispielsweise einer wässrigen Lösung, auf.The molar ratio of SBECD to flurane in the complex according to the invention is preferably at least 1: 0.6, more preferably at least 1: 0.7, more preferably at least 1: 0.8, further preferably at least 1: 0.85. The complex obtainable according to the invention thus has a very high molar content of flurane with simultaneously high storage stability and problem-free formulation into an administrable form, for example an aqueous solution.
Gegenstand der Erfindung ist ferner ein erfindungsgemäß erhältlicher Komplex zur Verwendung als Medikament. Ein weiterer Gegenstand der Erfindung ist ein für orale und/oder intravenöse Administration formuliertes Anästhetikum, das einen erfindungsgemäß erhältlichen Komplex aufweist.The invention further provides a complex obtainable according to the invention for use as a medicament. Another object of the invention is an anesthetic formulated for oral and / or intravenous administration which has a complex obtainable according to the invention.
Ausführungsbeispiele der Erfindung werden nachfolgend beschrieben. In den Zeichnungen zeigen:
- Fig. 1:
- Röntgenpulverdiffraktogramme von SBECD und einem erfindungsgemäßen Komplex;
- Fig. 2:
- Kapillarelektropherogramme von SBECD und einem erfindungsgemäßen Komplex;
1. Verwendete Materialien
- destilliertes Wasser
- Sulfobutylether-β-Cyclodextrin (SBECD)
- Sevofluran
SBECD wurde bezogen von der Firma Cyclo Lab Cyclodextrin Research & Development Laboratory Ltd., Ungarn. Sevofluran wurde bezogen von Abbott GmbH, Wiesbaden.
2. Bestimmung des Sevofluran-Gehaltes hergestellter Komplexe
Die Bestimmung des Sevofluran-Gehaltes der Komplexe erfolgte gaschromatografisch. Die Gaschromatografiebedingungen waren wie folgt:
- Fig. 1:
- X-ray powder diffractograms of SBECD and a complex according to the invention;
- Fig. 2:
- Capillary electropherograms of SBECD and a complex of the invention;
1. Used materials
- distilled water
- Sulfobutyl ether β-cyclodextrin (SBECD)
- sevoflurane
SBECD was obtained from the company Cyclo Lab Cyclodextrin Research & Development Laboratory Ltd., Hungary. Sevoflurane was purchased from Abbott GmbH, Wiesbaden.
2. Determination of the sevoflurane content of complexes produced
The determination of the sevoflurane content of the complexes was carried out by gas chromatography. The gas chromatography conditions were as follows:
Das Injektionsprogramm war wie folgt: Nach einer Inkubationszeit von 10 min bei 60°C wurde eine Dampfprobe mit einem Volumen von 250 µl bei 70 °C in den Gaschromatografen injiziert.The injection program was as follows: After an incubation period of 10 minutes at 60 ° C, a vapor sample with a volume of 250 μl at 70 ° C was injected into the gas chromatograph.
Vergleichslösungen: 1 ml destilliertes Wasser mit 250 µl DMF wird in die Viale gegeben.Comparative solutions: 1 ml of distilled water containing 250 μl of DMF is added to the vial.
Kalibrierlösungen: Als Stammlösung wird 100 mg Sevofluran in 2 ml Glasflaschen eingewogen und bis zur Markierung mit DMF aufgefüllt.Calibration solutions: As stock solution, weigh 100 mg sevoflurane in 2 ml glass bottles and make up to the mark with DMF.
Verschiedene Mengen dieser Stammlösung (20, 65, 110, 155 und 200 µl) werden jeweils mit DMF auf 200 µl aufgefüllt und mit 1 ml destilliertem Wasser in Head Space Vials (19,5 ml) eingefüllt.Various amounts of this stock solution (20, 65, 110, 155 and 200 μl) are each made up to 200 μl with DMF and filled with 1 ml of distilled water in Head Space Vials (19.5 ml).
Probenlösung: 50 mg des Probenkomplexes wird in eine Head Space Vial (19,5 ml) gegeben mit 1 ml destilliertem Wasser und 200 µl DMF.Sample solution: Place 50 mg of the sample complex in a Head Space Vial (19.5 ml) with 1 ml of distilled water and 200 μl of DMF.
Dieses Beispiel beschreibt die Herstellung eines SBECD-Komplexes von Sevofluran.This example describes the preparation of a SBECD complex of sevoflurane.
In einem Rundkolben wurden unter fortlaufendem Rühren bei Raumtemperatur 22,8 g (10,54 mmol) SBECD in 190 ml Wasser gelöst. Es entstand eine klare Lösung, die auf 8 °C abgekühlt wurde. 5,1 g (25 mmol) Sevofluran wurden hinzugefügt, der Rundkolben wurde fest verschlossen und es wurde bei 8 °C über einen Zeitraum von 3 h mit 400 min-1 gerührt. Man erhielt eine homogene flüssige Phase mit einem Sevofluran-gehalt von 0,75 Gew.-%.22.8 g (10.54 mmol) of SBECD were dissolved in 190 ml of water in a round bottom flask while stirring continuously at room temperature. The result was a clear solution which was cooled to 8 ° C. 5.1 g (25 mmol) of sevoflurane were added, the round bottom flask was tightly closed and stirred at 8 ° C over a period of 3 h at 400 min -1 . A homogeneous liquid phase having a sevoflurane content of 0.75% by weight was obtained.
Die erhaltene Lösung wurde auf -50 °C eingefroren und für 24 h bei einem Druck im Bereich 6.0 bis 8.7 Pa lyophilisiert. Man erhielt einen amorphen Feststoff, der gemahlen und durch ein Sieb mit einer Maschenweite von 0,3 mm gesiebt wurde. Der Restgehalt an Wasser war gering (Daten siehe weiter unten), so dass kein weiterer Gefriertrocknungsschritt erforderlich war.The resulting solution was frozen at -50 ° C and lyophilized for 24 h at a pressure in the range of 6.0 to 8.7 Pa. An amorphous solid was obtained, which was ground and sieved through a sieve with a mesh size of 0.3 mm. The residual level of water was low (data below), so no further freeze-drying step was required.
Der Gehalt des festen Komplexes an Sevofluran (Bestimmung wie oben beschrieben) betrug 8,6 Gew.-%.The content of the solid complex of sevoflurane (determined as described above) was 8.6% by weight.
In diesem Beispiel wurde untersucht, welchen Einfluss die Temperatur bei der Herstellung auf den Komplex hat. Die Herstellung des Beispiels 1 wurde wiederholt mit Abweichungen bei der Temperatur der Lösung bei der Herstellung (nicht erfindungsgemäße Vergleichsbeispiele).In this example, the influence of temperature on production on the complex was investigated. The preparation of Example 1 was repeated with variations in the temperature of the solution in the preparation (comparative examples not according to the invention).
Bei 22°C Herstellungstemperatur betrug der Gehalt des festen Komplexes an Sevofluran 1,7 Gew.-%, bei 30°C 0,7 Gew.-%.At 22 ° C production temperature, the content of the solid complex of sevoflurane was 1.7 wt .-%, at 30 ° C 0.7 wt .-%.
Man erkennt, dass bereits bei Temperaturen von 22 °C, insbesondere auch 30 °C, lediglich eine ganz geringe Ausbeute erzielt werden kann. Der Sevofluran-Gehalt des Komplexes ist signifikant geringer als im erfindungsgemäßen Verfahren. Das im Stand der Technik gemäß
Die Struktur von SBECD und dem Komplex gemäß Beispiel 1 wurde mittels Röntgendiffrakrometrie überprüft. Es wurde übliche CuKα-Strahlung verwendet. Die Reflexionspeaks wurden in einem Bereich des Winkels 2θ von 5 bis 40° aufgezeichnet.The structure of SBECD and the complex of Example 1 was checked by X-ray diffractometry. Conventional CuKα radiation was used. The reflection peaks were recorded in a range of the angle 2θ of 5 to 40 °.
In
Die amorphe Struktur wurde bestätigt durch Beobachtung unter einem Lichtmikroskop bei 100 facher Vergrößerung unter polarisiertem Licht. Es waren keine Interferenzmuster sichtbar, dies bestätigt die amorphe Struktur.The amorphous structure was confirmed by observation under a light microscope at 100 times magnification under polarized light. No interference patterns were visible, this confirms the amorphous structure.
In diesem Beispiel wurde durch Kapillarelektrophorese bestätigt, dass die Struktur des Komplexbildners durch das erfindungsgemäße Verfahren nicht beeinträchtigt wird und intakt bleibt.
Der gemäß Beispiel 1 erhaltene Feststoff wurde 14 Tage (14 d) in einem offenen Behälter bei 40 °C gelagert. In der nachfolgenden Tabelle aufgeführte Eigenschaften wurden in den angegebenen Zeitabständen bestimmt.
Bei der Ermittlung der Wiederlösbarkeit wurden 100 mg des Komplexes in 0,9 ml destilliertem Wasser dispergiert. Die Bestimmung des Restwassergehaltes wurde nach Karl-Fischer durchgeführt. Beide Parameter wurden nur zu Beginn des Versuches und zum Abschluss nach 14 Tagen ermittelt.In determining the re-solubility, 100 mg of the complex was dispersed in 0.9 ml of distilled water. The determination of the residual water content was carried out according to Karl-Fischer. Both parameters were determined only at the beginning of the trial and at the end of 14 days.
Man erkennt, dass sich der Sevofluran-Gehalt auch bei längerer Lagerung unter ungünstigen Bedingungen nicht ändert, der Komplex somit sehr stabil ist. Er lässt sich auch nach 14 Tagen unter diesen Lagerbedingungen problemlos mit Wasser und ohne weitere Hilfsmittel wieder zu einer klaren Lösung ansetzen. Der Restwassergehalt war unter diesen ungünstigen Lagerbedingungen nur geringfügig angestiegen.It can be seen that the sevoflurane content does not change even during prolonged storage under unfavorable conditions, thus the complex is very stable. Even after 14 days under these storage conditions, it can easily be reconstituted with water and without further aids to achieve a clear solution. The residual water content had increased only slightly under these unfavorable storage conditions.
Claims (12)
- Method for producing a flurane complex, characterized by the following steps:a. preparing an aqueous solution of sulfobutylether-β-cyclodextrin (SBECD),b. controlling the temperature of said solution to a temperature of from 2 to 15°C,c. adding the flurane to the aqueous solution,d. allowing the reaction to produce the complex,e. separating off the complex.
- Method according to Claim 1, characterized in that the aqueous solution prepared in step a. comprises SBECD at a concentration of from 5 to 20% by weight, preferably 10 to 15% by weight.
- Method according to Claim 1 or 2, characterized in that the flurane in step c. is added in a molar ratio to the SBECD of from 4:1 to 1:1, preferably from 3:1 to 2:1.
- Method according to any of Claims 1 to 3, characterized in that the complex is separated off by freeze-drying.
- Method according to any of Claims 1 to 4, characterized in that the flurane is selected from the group consisting of sevoflurane, enflurane, isoflurane, desflurane and methoxyflurane.
- Method according to Claim 5, characterized in that the flurane is sevoflurane.
- Complex of SBECD and a flurane, obtainable by a method according to any of Claims 1 to 6, characterized in that the flurane content is greater than 8% by weight.
- Complex according to Claim 7, characterized in that the flurane content is greater than 8.2% by weight, more preferably greater than 8.5% by weight.
- Complex according to Claim 7 or 8, characterized in that the flurane is sevoflurane.
- Complex according to any of Claims 7 to 9, characterized in that the molar ratio of SBECD to flurane is at least 1:0.6, more preferably at least 1:0.7, more preferably at least 1:0.8, more preferably at least 1:0.85.
- Complex according to any of Claims 7 to 10 for use as a medicament.
- Anesthetic formulated for oral and/or intravenous administration, characterized in that said anesthetic comprises a complex according to any of Claims 7 to 10.
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